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胡琼伟, 徐凌忠, 周成超, 盖若琰, 王兴洲, 张茜, 郭彬, 汪心海. 肺结核患者服药依从性现状及影响因素分析[J]. 中国公共卫生, 2014, 30(4): 403-405. DOI: 10.11847/zgggws2014-30-04-07
引用本文: 胡琼伟, 徐凌忠, 周成超, 盖若琰, 王兴洲, 张茜, 郭彬, 汪心海. 肺结核患者服药依从性现状及影响因素分析[J]. 中国公共卫生, 2014, 30(4): 403-405. DOI: 10.11847/zgggws2014-30-04-07
HU Qiong-wei, XU Ling-zhong, ZHOU Cheng-chao.et al, . Compliance of home chemotherapy and its influencing factors among tuberculosis patients[J]. Chinese Journal of Public Health, 2014, 30(4): 403-405. DOI: 10.11847/zgggws2014-30-04-07
Citation: HU Qiong-wei, XU Ling-zhong, ZHOU Cheng-chao.et al, . Compliance of home chemotherapy and its influencing factors among tuberculosis patients[J]. Chinese Journal of Public Health, 2014, 30(4): 403-405. DOI: 10.11847/zgggws2014-30-04-07

肺结核患者服药依从性现状及影响因素分析

Compliance of home chemotherapy and its influencing factors among tuberculosis patients

  • 摘要: 目的了解居家化疗传染性肺结核患者服药依从性状况,探讨其可能的影响因素。方法采用分层随机抽样方法,选取山东省6个地区共720例居家化疗肺结核患者作为研究对象,使用自行编制的问卷对其进行调查。结果720例调查对象中,男性506例(70.3%),女性214例(19.7%);服药依从者316例(43.9%),服药不依从者404例(56.1%);未婚118例(16.4%),已婚551例(76.5%),离婚或丧偶50例(6.9%),以离婚或丧偶作为参照,在婚者服药依从性较好(OR=0.490,P=0.026);新农合621例(86.2%),城镇职工医保99例(13.8%),以新农合为参照,城镇职工医保患者服药依从性较差(OR=2.415,P=0.003);城镇户籍56例(7.8%),农村户籍664例(97.2%),以城镇户籍为参照,农村户籍患者服药依从性较差(OR=2.019,P=0.044)。结论山东6县区居家化疗传染性肺结核患者半数以上存在服药不依从行为,服药依从性与婚姻状态、医疗保障类型以及家庭户籍类型相关。

     

    Abstract: ObjectiveTo investigate the compliance of home chemotherapy and its influencing factors among infectious tuberculosis patients.MethodsWe used stratified random sampling to choose 720 infectious tuberculosis patients with home chemotherapy from 6 areas in Shandong province.The investigation was carried out with a self-administered questionnaire to collect information on compliance of home chemotherapy and its influencing factors.ResultsThe patients were 506 men(70.3%)and 214 women(19.7%).Among the patients only 43.9%complied with the home chemotherapy and 56.1%did not comply with the chemotherapy.Compared with the patients of divorced or windowed,the married patients had a better compliance of home chemotherapy (odds ratio OR=0.490,P=0.026).Patients with urban worker's medical insurance had a higher incompliance rate compared with those with new rural cooperative medical system (OR=2.415,P=0.003).The patients registered in rural areas had a higher incompliance compared with those registered in urban areas (OR=2.019 P=0.044).ConclusionMore than a half of the infectious tuberculosis patients in 6 urban and rural areas of Shandong province did not comply with home chemotherapy and marriage status,medical care and registered living areas related to the compliance of home chemotherapy.

     

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